Evidence map›Paper›PMID 22515423›Full record

ArticleDeveloping world bioethics2012

US IRBs confronting research in the developing world.

Robert L Klitzman

Abstract read
In one paragraph

Article in Developing world bioethics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
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  10. Barriers to Effective Deliberation in Clinical Research Oversight.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2016
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Fostering IRB collaboration for review of international research.The American journal of bioethics : AJOB · 2014
    Review
  17. How IRBs view and make decisions about social risks.Journal of empirical research on human research ethics : JERHRE · 2013
    Article
  18. Article
  19. How IRBs view and make decisions about consent forms.Journal of empirical research on human research ethics : JERHRE · 2013
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Robert L KlitzmanColumbia University College of Physicians and Surgeons - Psychiatry, 1051 Riverside Drive, Unit 15, New York, NY 10032, USA. rlk2@columbia.edu

Funding

Views and Approaches Toward Research Integrity Among IRBsR01HG004214 · NHGRI · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI KLITZMAN, ROBERT L · 2006 to 2007
$567k
IRBs: Ethics, Context and InterpretationsG13LM009996 · NLM · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI KLITZMAN, ROBERT L · 2009 to 2011
$240k
NHGRI NIH HHS R01 HG004214NLM NIH HHS G13 LM009996
6 · The paper itself

Abstract

unlabelledIncreasingly, US-sponsored research is carried out in developing countries, but how US Institutional Review Boards (IRBs) approach the challenges they then face is unclear.

methodsI conducted in-depth interviews of about 2 hours each, with 46 IRB chairs, directors, administrators and members. I contacted the leadership of 60 IRBs in the United States (US) (every fourth one in the list of the top 240 institutions by National Institutes of Health (NIH) funding), and interviewed IRB leaders from 34 (55%).

resultsUS IRBs face ethical and logistical challenges in interpreting and applying principles and regulations in developing countries, given economic and health disparities, and limited contextual knowledge. These IRBs perceive wide variations in developing world IRBs/RECs' quality, resources and training; and health systems in some countries may have long-standing practices of corruption. These US IRBs often know little of local contexts, regulations and standards of care, and struggle with understandings of other cultures' differing views of autonomy, and risks and benefits of daily life. US IRBs thus face difficult decisions, including how to interpret principles, how much to pay subjects and how much sustainability to require from researchers. IRB responses and solutions include trying to maintain higher standards for developing world research, obtain cultural expertise, build IRB infrastructure abroad, communicate with foreign IRBs, and 'negotiate' for maximum benefits for participants and fearing 'worst-case scenarios'.

conclusionsUS and foreign IRBs confront a series of tensions and dilemmas in reviewing developing world research. These data have important implications for increased education of IRBs/RECs and researchers in the US and abroad, and for research and practice.

Indexed as

Cultural CharacteristicsDeveloping CountriesEthics Committees, ResearchEthics, ResearchInformed ConsentPersonal AutonomyActivities of Daily LivingBiomedical ResearchBottle FeedingBreast FeedingCoercionDeceptionFemaleHIV InfectionsHumansInfectious Disease Transmission, Vertical

Identifiers

PMID22515423
PMCPMC3459236

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.